Excessive Th1 cells and TLRs functions are involved in the pathogenesis of Behcet's disease (BD) in response to bacterial antigens. NOD2, an intracellular pathogen recognition sensor, modulates innate defence to muropeptides derived from various bacterial species. To further define a role for NOD2 in BD, we analysed NOD2 transcriptional responses in BAL-MNC from BD patients with pulmonary manifestations. Methods We analysed NOD1, NOD2, T-bet and TLRs mRNA expression with real-time polymerase chain-reaction in BAL cells obtained from 23 BD patients with pulmonary manifestations and their matched controls. Results We found that NOD2 mRNA expression was highly up-regulated in BAL cells from BD and sarcoidosis patients compared to healthy control group ( P = 0.001 ). In BD patients, significant correlation was found between NOD2 and T-bet mRNA expression (r = 0.602; P = 0.0009 ). In BAL from BD patients, NOD2 and T-bet mRNA expression were significantly correlated with BAL-lymphocytes (r = 0.485, P = 0.010 ; r = 0684, P = 0.0001 respectively ). NOD2 in BD was also correlated with TLR 2(r = 0.444; P = 0.021 ) and TLR 4 (r = 0.574; P = 0.001 ) mRNA expression. Conclusion Our results indicate that BAL-MNC from BD patients expressed NOD2 as a result of lung inflammation. TLRs and NOD2 synergize for the induction of proinflammatory cytokines. BAL inflammatory cells showed an increased Th1 situation as indicated by increased T-bet mRNA expression.
Hamzaouiet al.Journal of Inflammation2012,9:3 http://www.journalinflammation.com/content/9/1/3
R E S E A R C HOpen Access NOD2 is highly expressed in Behçet disease with pulmonary manifestations 1* 22 22 Kamel Hamzaoui, Hanadi Abid , Anissa Berraies , Jamel Ammarand Agnès Hamzaoui
Abstract Background:Excessive Th1 cells and TLRs functions are involved in the pathogenesis of Behcet’s disease (BD) in response to bacterial antigens. NOD2, an intracellular pathogen recognition sensor, modulates innate defence to muropeptides derived from various bacterial species. To further define a role for NOD2 in BD, we analysed NOD2 transcriptional responses in BALMNC from BD patients with pulmonary manifestations. Methods:We analysed NOD1, NOD2, Tbet and TLRs mRNA expression with realtime polymerase chainreaction in BAL cells obtained from 23 BD patients with pulmonary manifestations and their matched controls. Results:We found that NOD2 mRNA expression was highly upregulated in BAL cells from BD and sarcoidosis patients compared to healthy control group (P=0.001). In BD patients, significant correlation was found between NOD2 and Tbet mRNA expression (r = 0.602;P=0.0009). In BAL from BD patients, NOD2 and Tbet mRNA expression were significantly correlated with BALlymphocytes (r = 0.485,P=0.010; r = 0684,P=0.0001 respectively). NOD2 in BD was also correlated with TLR 2(r = 0.444;P=0.021) and TLR 4 (r = 0.574;P=0.001) mRNA expression. Conclusion:Our results indicate that BALMNC from BD patients expressed NOD2 as a result of lung inflammation. TLRs and NOD2 synergize for the induction of proinflammatory cytokines. BAL inflammatory cells showed an increased Th1 situation as indicated by increased Tbet mRNA expression. Keywords:NOD2, TLRs, Tbet, Behçet Disease, Inflammation
Background Behcet’s disease (BD) is a systemic vasculitis with unknown aetiology. Immune dysregulation involving T and B cells with hyperreactive neutrophils, supposedly triggered by infectious agents, contribute to disease pathogenesis in addition to genetic predisposition [13]. Documentation of various atypical streptococcal species in oral flora of BD patients, clinical flares after dental procedures, and a good response to antibacterial treat ment, have been considered as evidence for the role of Streptococcus in BD [4]. However, none of the microbial agents has been definitely proved to cause BD. Immuno logical disorders are important in BD pathogenesis [5]. T lymphocytes from patients with BD produced a parti cular inflammatory mediators pattern when stimulated
* Correspondence: kamel.hamzaoui@gmail.com 1 Division of Histology and Immunology, Department of Basic Sciences, Medicine School of Tunis, Tunis El Manar University, 15 Rue Djebel Lakdar, 1007 Tunis, Tunisia Full list of author information is available at the end of the article
with a bacterial superantigen [69]. Innate immunity was deeply investigated in BD patients [9,10]. Tolllike recep tor (TLR)expressing cells (TLR2 and TLR4) [9] and gamma delta T cells (TCRgδ) [11] have been involved in BD inflammatory reactions. NODlike receptors (NLRs) are a family of innate immune receptors that play key roles in host defence and inflammation. NLR genes have been preserved throughout evolution and at least 22 members are pre sent in humans [12]. NOD2 is an intracellular receptor for the bacterial cell wall component muramyl dipeptide (MDP), and variants of NOD2 are associated with chronic inflammatory diseases of barrier organs (e.g., Crohn’s disease, asthma, and atopic eczema) [12,13]. It is known that activation of NOD2 induces a variety of inflammatory and antibacterial factors. Truncated NOD2 proteins are encoded by mutations in the NOD2 gene that predispose individuals to inflammatory dis eases [14].